Will pulmonary hypertension cause hemoptysis

Pulmonary hypertension accompanied by coughing up blood is a relatively serious condition, because if it is not effectively treated and controlled, it will eventually lead to right heart failure and death. This is a disease with a very high disability and mortality rate. Once these symptoms are found, attention should be paid to treatment.

Pulmonary hypertension can exist as an independent disease, but more commonly it is a pathophysiological manifestation of many diseases that progress to a certain stage. Pulmonary vascular remodeling causes changes in pulmonary circulation hemodynamics, which may eventually lead to right heart failure and even death. Pulmonary arterial hypertension is a common clinical disease in my country. It has high disability and mortality rates. It is also a major disease that seriously endangers the physical and mental health of patients and increases the social medical burden.

What are the symptoms of pulmonary hypertension?

1. Symptoms include those of the primary disease and those caused by pulmonary hypertension. The symptoms of pulmonary hypertension itself are non-specific. Mild pulmonary hypertension may be asymptomatic. As the disease progresses, the following manifestations may occur:

(1) Exertional dyspnea: Due to decreased pulmonary vascular compliance, cardiac output cannot increase with exercise. Dyspnea after physical activity is often the earliest symptom of pulmonary hypertension.

(2) Fatigue: It is the result of decreased cardiac output and tissue hypoxia.

(3) Syncope: It is caused by a sudden decrease in blood supply to the brain, which often occurs after exercise or when standing up suddenly. It can also be caused by a large embolus blocking the pulmonary artery, sudden spasm of the pulmonary arterioles, or arrhythmia.

(4) Angina pectoris or chest pain: Due to right ventricular hypertrophy, coronary artery perfusion is reduced, resulting in relative myocardial insufficiency of blood supply. Chest pain may also be caused by hemangioma-like dilatation of the main trunk or main branches of the pulmonary artery.

(5) Hemoptysis: Pulmonary hypertension can cause rupture of microaneurysms at the beginning of pulmonary capillaries and lead to hemoptysis.

(6) Hoarseness: caused by pulmonary artery dilation compressing the recurrent laryngeal nerve.